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`�� C� `NSTRUCTION � /� <br /> everett PERMIT PERMITNQ. � �`��� <br /> ❑ DEMOLITION ❑ COMBINATION C�BUILDING ❑ MECHANICAL 'O PLUMBING ❑ SI(iN <br /> py�q MAit AOORE55 QTv ZiP �ONE <br /> Peter C. Juhlin 1011 Hewitt Ave. Everett, WA- 98201 339-2671 <br /> •RCHITECt OR DESIGNER MRIL R�Dt1E55 QTv ZIP VMONE <br /> 6ENEML CONTR�CTOR �/LL AOORE55 CrtY ZIP 1'MONE UCENSE� <br /> Bayside Const. 1402 2nd Marysville, WA 98077 659-8388 BAYSIC13005 <br /> MELMANIC�L CONTPRCTOR MRIL ADOBE55 CITV ZIP 1'HONE LICENSE• <br /> PLUMBING CONTR�CTOR MML qODRESS CITY 2iP P110NE LILENSE• <br /> CLASS OF WORIt <br /> ❑ �w ❑ ADDITION C�ALTENATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILGIN6 RELOCATION <br /> V�LUATION Of WONN <br /> S 28�5.�� <br /> pE5CRI8E WORK <br /> Alt bar, coolez, sheet rock, raise 1 section of ceiling above 1 wall. <br /> �r sounce <br /> ❑ [LECTRICITV ❑ 6AS ❑ WOODSTOVE ❑ OTMER <br /> PROPpSED USE OF OUILDING <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> Tavern APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEU�lDESCFIPTIONOFPROPERTV�SMOWBEIOWORFTTACIIFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br /> LOT_BIIX:N �OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADORE55 SIGNRTUP RGtOA.AUT 12E0 GE�lT�OROWNER DATE <br /> 1011 Hewitt Ave. X /""' Z <br /> PLUMlIN6 MECHANICAL <br /> NO, TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET�TOILET� AiC—A/MNDLG UNITS—H P. <br /> BFTHTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORV�WASH BASIN) BOI�ERS—B.T.0/H P. <br /> SHOWEH GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B TL M EA. <br /> DISMWASHER WALLHEATERS—BTL. M <br /> LAUNORY TRAY UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE MOOD <br /> BACKFLOWPREVENTERS WATERNEATEH � <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN�SERVICE—BNR,ETC.� METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXNAUSTFAN <br /> SUB TOTIIL f SUB TOTAL <br /> PENMIT f PERMIT <br /> TOTALFEE S TOTALFEE <br /> FRONr SETBnGK AEaR SErBnCrc 5i0E SEtoacK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 88/19947 35.10 95223 <br /> USE20NE ��TAREA VRLFNTSITE <br /> ❑YES IRr+o FEES VALUATION FEE <br /> TYPEOF('JNST OCCUPANGVGROUP NOOFDWELLINGUNiTS BUI�DING S ZB7S.'OO - �S�I O <br /> V—N 8 B-2 � PLUMBING <br /> SRE OF Ol OG NO OF STORIES MAX OGC LOAO � <br /> 1 N—A MECHANICAL � <br /> INVESTIGATION FEE Sec.SO4�c) <br /> FIRE SPRINNLERS REOUIRED ❑�ES L$NO <br /> STATE DUILDING SURCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> APPIICRTI@1ACC BY PL�NSCH[CNEOOV �PPR FORISSU/NC[11v — <br /> DRIVEWAV PERMIT <br /> 3,H. H.E. B.E. TOTAL 57 50 <br /> PEHMIT VALIDATION <br /> e v ir <br />